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1366882649
JASON DANIEL KOPP
CHANHASSEN, MN
NPI
1366882649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2438)
Enumeration Date
2013-07-01
Last Update Date
2013-07-01
Business Address
-- JASON DANIEL KOPP ATC
7872 CENTURY BLVD
CHANHASSEN, MN 55317-8005
Phone number: 952-448-9081
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Mailing Address
-- JASON DANIEL KOPP ATC
3140 CHOWEN AVE S APT 316W
MINNEAPOLIS, MN 55416-4533
Phone number: 608-732-7458
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